Tag Archives: noridian

Q&A: Unattended Home Sleep Study

Q.  We have submitted unattended sleep study interpretations with code G0399 with Modifier 26 but have received some denials from Medicare and other commercial carriers.  Is it appropriate to use one of the following codes 95800, 95801 or 95806 with a … Continue reading

Share
Posted in How-To, Medicare, Noridian, Q & A, Q & A with RMC | Tagged , , , , , , , , , , , , , | Leave a comment

Q&A: Hospitalist E/M Coding, 2 physicians, different subspecialties

Q. Can  a new patient be seen and billed for 2 new patient E/M services when seen by two neurologists in the same group practice, but different subspecialties? A.  If you’re following CPT guidelines, the answer is yes.  CPT defines a new … Continue reading

Share
Posted in Medicare, Noridian, Q & A, Q & A with RMC | Tagged , , , , , , , , , , , , , , , , , , , , | Leave a comment

Noridian Medicare Part B Update re: ICD-10, posted 1/02/13

ICD-10: Simple Steps to Improve Clinical Documentation On October 1, 2014, your practice and the clearinghouses, payers, and billing companies that you work with will need to use ICD-10 codes. One way to help your practice prepare for ICD-10 is … Continue reading

Share
Posted in Medicare, News, Noridian | Tagged , , , , , , , , , , , , , , , , , | Leave a comment

RMC presents at OrHIMA Coding Roundtable Today

Connie Eckenrodt, RHIT, CHCA, CHC, Director of Physician Coding & Compliance at RMC, will be presenting the last session in a 3-part series on advanced E/M coding today for the Oregon Health Information Management Association’s monthly Coding Roundtable.  The topic … Continue reading

Share
Posted in Audio Conferences, Events, Medicare, News, RMC | Tagged , , , , , , , , , , , , , , , , , , , , , | Leave a comment

Pro Fee Coding Question: Preoperative Exam Diagnosis

Q.  Can diagnosis code V72.8 (pre-op exam) be used by a general physician or just a surgeon?  If used by a general physician would the secondary diagnosis be the reason for the surgery or the condition the physician is actually … Continue reading

Share
Posted in Q & A, Q & A with RMC | Tagged , , , , , , , , , , , , , , , , , | Leave a comment

Modifier 22 – Noridian Administrative Services Processing Change

On January 31, 2012, Noridian Administrative Services (NAS) posted a Medicare Part B News update to Issue 274 dated November 16, 2011.    OF NOTE: NAS no longer requests additional documentation on procedure codes when billed with modifier 22.  Following the initial … Continue reading

Share
Posted in How-To, Medicare, News, Q & A, Q & A with RMC, RMC | Tagged , , , , , , , , , , , | Leave a comment

Lumbar Facet Blockade Service Specific Review

Noridian Administrative Services (NAS) initiated a service specific review on November 1, 2011, for claims for Lumbar Facet Blockade and associated services.  NAS Medical Review is reviewing documentation submitted to support claims for CPT codes: 64493-64495 and 64622-64623 suspended during this … Continue reading

Share
Posted in Medicare, News, RMC, RMC E-Alerts | Tagged , , , , , , | Leave a comment

EMRs and E/M – Alert

Hello Everyone –   This issue came up recently at a client site while we were discussing EMR documentation and I thought it was worthy enough of reminding everyone about it.  It is becoming more and more difficult to ascertain sometimes … Continue reading

Share
Posted in How-To, Medicare, Q & A, RMC E-Alerts | Tagged , , , , , , , , , , , , , | Leave a comment